Katerina Yu Author
Subjects of specialization
Affiliation
Large Bowel Obstruction, Sigmoid Volvulus; Pregnancy
Department of Family Medicine, Dignity Health California Hospital Medical Center, Los Angeles, CA
Katerina Yu Department of Family Medicine, Dignity Health California Hospital Medical Center, Los Angeles, CA Sigmoid Volvulus; Pregnancy: Large Bowel Obstruction The extremely low incidence of SV along with masking of the clinical presentation by a gravid uterus lead to delay in diagnosis
Case Report Open Access
Author(s): Monika Shenouda* , Monir Mardini, Abiola Mosuro, Syed Saad Uddin, Katerina Yu, Armaity Austin and Gudata Hinika
We present the case of a 34 year old female Gravida 5 Para 4 at 33 weeks and 4 days gestation who presented with lower abdominal pain and constipation. MRI Abdomen and Pelvis demonstrating large bowel obstruction secondary to Sigmoid Volvulus (SV). Patient was initially managed with colonoscopic detorsion but with recurrence of volvulus during the same hospitalization. The second event of volvulus was again treated with colonoscopic detorsion. The patient underwent a C-section due to the recurrence to the volvulus at 34 weeks and 2 days, with the delivery of a pre-term female infant, and exploratory laparotomy concomitantly with bowel resection of the sigmoid and descending colon and colostomy formation. Both procedures were tolerated well by both mother and child without complications.... view moreĀ»